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t': <br /> � . ,�^�, <br /> � s"' , <br /> �>;�: <br /> � � BUI .'LDING �'�ltMlT lf� FOR�IA�"ION <br /> , <br /> I ADDRESS TYPE <br /> 0 <br /> (1) BUILDING PEP.MIT FEE $ �'g� <br /> ; (A) PLAN CHECK fEE i\3 � (��• <br /> ; (2) PLUMBING �a � <br /> ' (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PE1�MIT lSSUANCE (00 oJ _ <br /> (A) TO 8E DETERMINED BY BLDG INSPECTOR i��{ INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION IJO. <br /> ! (C1 APPROX. LOCATION <br /> 1 <br /> { CHART <br /> � <br /> ; (5) DRIVEWAY PERMIT TO B[ PAID PRIOR TO BUILDING PERMIT IS- � <br /> ; SUANCE FEET DRIVEWAI'(TYPE) S ab` <br /> ; g <br /> ; <br /> j (7) STATUS OF SEWER CHAR.GES: <br /> BOND DISTRICT FOOTAGE . <br /> ' N, s. E, w 3. 5t� <br /> � NOTES � S,oO <br /> a <br /> \�—l\— 8�i 1—��.OU <br /> Wc�er <br /> �� S�W c,t' �k� 1 , 0 U <br /> , <br /> i <br /> � <br /> ,' <br /> - � <br /> ; <br /> : SEWER CONNECTION CHARGES 33U �� <br /> YEAR TRUNK � <br /> ' LATERAL i <br /> TOTAL CONNECTION CHARGES � '3� � I <br /> o� <br /> � <br /> SEWER PERMIT FEE $ 30 � <br /> CATCH BASIN PERMIT FEE <br /> ; TOTAL SEWER PERMIT FEES g 3o�J II v <br /> 'I � <br /> (7) MONTHLY 5[�NER CHARGES: ��� <br /> SE`NER CONSTRUCTION TRUCK � '� <br /> LATERAL � <br /> SEWER SERVICE � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> e� <br /> CHART <br /> INFOCOMPILEDBY: DATE �� �� <br /> APPROVAL: DATE II <br /> i <br /> � <br /> � <br /> 1/8l <br />